Individual
CAROLYN STRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(864) 885-7758
(864) 885-7749
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71004053A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
22414
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5672
—
SC
01
—
P01222136
RR MEDICARE PTAN
IN
Enumeration date
09/12/2012
Last updated
06/14/2021
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